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Michigan rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $209.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $67.14 / $151.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $157.49 / $300.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.90 / $11.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $172.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $186.82 / $423.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $98.78 / $118.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $49.51